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AP Abd: Lt Lat Decub

RAD 111 Chart 2011

QuestionAnswer
PROJECTION AP ABDOMEN: LEFT LATERAL DECUBITUS
MEASURE PATH OF BEAM AT CR
SID INCHES 40"
IMAGE RECEPTOR 14X17 LW, VERTICAL GRID DEVICE
PATIENT POSITION left side lying on radiolucent pad on stretcher 3-5 minutes, arms above diaphragm, flex knees slightly, ensure pt will not fall
PART POSITION ENSURE TRUE LATERAL POSITION
IR CENTERING center long axis IR to MSP + center 2" above iliac crests to include diaphragm
CENTRAL RAY Horizontal + perpendicular to mid-point IR
ID MARKERS RIGHT for upside & appropriate decubitus marker
COLLIMATION MAXIMUM 13X17
RESPIRATION Expiration: "take a deep breath in, blow it out, don't breathe"
SPECIAL NOTE used in place of AP upright when pt is too ill to stand
GONADAL SHIELDING MALE-LOCAL GONAD SHIELDING
STRUCTURES SHOWN MOST VALUABLE FOR AIR-FLUID LEVELS WHEN UPRIGHT ABD IS NOT POSSIBLE
EVALUATION CRITERIA diaphragm w/o motion, both sides abdomen, abd wall, flank structures, & diaphragm, no rotation, proper ID to inlcude pt side & side up
2011 MERRILLS PAGE# 93 VOL 2
Created by: svvang